The Indianapolis Bar Association is pleased you are interested in participating in the Bankruptcy Modest Means Project.

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1. Name (First Name, Middle Initial, Last Name, Suffix) (Required.)

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2. Indiana Attorney Number (Please include the dash and numbers after the dash. Example: #####-##) (Required.)

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3. I am willing to accept the following case type.

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4. I am willing to accept up to x number of chapter 7 bankruptcy modest means cases per month: (Required.)

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5. I have read and agree to abide by the Bankruptcy Modest Means Project Rules & Regulations. (Required.)

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